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Peg-in-Hole, End-to-End, and V Arthrodesis: A Comparison of Digital Stabilization in Fresh Cadaveric Specimens

Lamm, Bradley M.
Ribiero, Carla E.
Bauer, Gary R.
Hillstrom, Howard J.
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Journal article
Date
2001-02-01
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Podiatric Medicine
Surgery
Orthopedics and Biomechanics
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https://doi.org/10.7547/87507315-91-2-63
Abstract
The proximal interphalangeal joint arthrodesis is frequently performed to correct hammer toe deformities. This study was conducted to compare the inherent stability of the three proximal interphalangeal joint arthrodeses—peg-in-hole, end-to-end, and V constructs—in the sagittal plane by means of load-to-failure testing of 30 fresh-frozen cadaveric specimens fixated with a 0.045 Kirschner wire. The peg-in-hole construct was associated with significantly higher peak loads at failure compared with the other two procedures. Furthermore, the peg-in-hole construct had significantly higher stiffness values as compared with the V procedure. This study thus provides evidence that the peg-in-hole procedure is the most biomechanically stable surgical construct for proximal interphalangeal joint fusions under sagittal plane loading.
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Lamm BM, Ribeiro CE, Vlahovic TC, et al. Peg-in-hole, end-to-end, and V arthrodesis. A comparison of digital stabilization in fresh cadaveric specimens. J Am Podiatr Med Assoc. 2001;91(2):63-7. doi:10.7547/87507315-91-2-63
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American Podiatric Medical Association
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Journal of the American Podiatric Medical Association, Vol. 91, No. 2
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